Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $407.43 / $2,094.19	Facility		$130.66	$407.43	$2,094.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $161.79 / $209.54	Professional		$130.66	$161.79	$209.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.26 / $897.84 / $1,866.99	Facility		$398.26	$897.84	$1,866.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $144.21 / $144.21	Professional		$144.21	$144.21	$144.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.80 / $533.73 / $742.34	Professional		$427.80	$533.73	$742.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $252.68	Professional		$103.54	$147.91	$252.68